Active NPI
Healthsource of St Paul
- Chiropractor
- Saint Paul, MN
National Provider Identifier
1609106582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 547
- Legal business name
- HEALTHSOURCE OF ST PAUL
- Practice address
- 1815 Suburban Ave
Saint Paul, MN 55119-4302 - Phone
- (651) 731-1880
- Fax
- (651) 739-6029
- NPI assigned
- Dec 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Buesgens, DC,OTR
- Title
- Chiropractor
- Phone
- (651) 731-1880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 547 | MN | Primary |
Addresses
Primary practice location
1815 Suburban Ave
Saint Paul, MN 55119-4302
Mailing address
1815 Suburban Ave
Saint Paul, MN 55119-4302
Phone (651) 731-1880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 547 | Other | MN | PROFESSIONAL FIRM LICENSE |
National Provider Directory
National Provider DirectoryLocations
1815 Suburban Ave
Saint Paul, MN 55119
Phone (651) 731-1880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263859200000",
"number": "1609106582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 SUBURBAN AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551194302",
"telephone_number": "651-731-1880",
"fax_number": "651-739-6029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 SUBURBAN AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551194302",
"telephone_number": "651-731-1880",
"fax_number": "651-739-6029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHSOURCE OF ST PAUL",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-28",
"last_updated": "2010-01-19",
"status": "A",
"authorized_official_last_name": "BUESGENS",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "651-731-1880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC,OTR"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL FIRM LICENSE",
"identifier": "547",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.